| NPI | 1629293246 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA GORN V P Hospital Service 907-443-3311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: AK MH0212) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2020-08-22 |